A rare case of dengue and H1N1 co-infection: A deadly duo

[5] In such a scenario of mixed clinical picture, dengue can be confirmed by NS1, IgM, and IgG ELISA test which are sensitive, quick and simple; and H1N1 may be diagnosed by rapid antigen detection assays or RT PCR as shown in [Table 1]. [6] The management of such a co-infection needs aggressive treatment of both as discussed in this case which includes appropriate fluid hydration, antipyretics, oseltamivir for H1N1, antibiotic therapy for secondary bacterial infection, oxygen support and aggressive critical care support.